Individual
LEONCIO G GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 W BLACKWELL ST, ST CLARES HOSPITAL, DOVER, NJ 07801
(973) 927-6519
Mailing address
91 PLEASANT HILL RD, RANDOLPH, NJ 07869
(973) 927-6519
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
25MA04600100
NJ
Other
Enumeration date
04/24/2008
Last updated
04/24/2008
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